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E Health Update CMS Perspective

E Health Update CMS Perspective. Betsy L. Thompson, MD, DrPH Chief Medical Officer CMS, Region IX November 10, 2010. An Unsustainable Status Quo. 46 51 million uninsured Americans Health insurance premiums for family coverage at a small business increased 85% since 2000

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E Health Update CMS Perspective

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  1. E Health UpdateCMS Perspective Betsy L. Thompson, MD, DrPH Chief Medical Officer CMS, Region IX November 10, 2010

  2. An Unsustainable Status Quo • 4651 million uninsured Americans • Health insurance premiums for family coverage at a small business increased 85% since 2000 • 16%17.3%of our economic output tied up in the health care system • Without reform, by 2040, 1/3 of economic output tied up in health care--15% of GDP devoted to Medicare and Medicaid • Without reform, the number of uninsured would grow to 58 million in 2020* *Source: Urban Institute: “The Cost of Failure to Enact Health Reform: 2010-2020” March 15, 2010

  3. Practice Variation Source: http://www.dartmouthatlas.org/atlases

  4. The Triple Aim Goals of CMS • Better Care • Patient Safety • Quality • Patient Experience • Reduce Per Capita Cost • Reduce unnecessary and unjustified medical cost • Reduce administrative cost thru process simplification • Improve Population Health • Decrease health disparities • Improve chronic care management and outcome • Improve community health status

  5. CMS’ Quality Improvement Roadmap Vision: The right care for every person every time through care that is: • Safe • Effective • Efficient • Patient-centered • Timely • Equitable

  6. Value Driven Care • Goal: Transformation from passive payer to active purchaser of higher quality, more efficient health care • Tools: measurement, payment incentives, public reporting, conditions of participation, coverage policy, Quality Improvement Organizations Source: Jha A, DesRoches C, Campbell E, Donelan K, Rao S, Ferris T, Shields A, Rosenbaum S, Blumenthal D. “Use of Electronic Health Records in U.S. Hospitals”. New England Journal of Medicine: 360;16. April 16, 2009.

  7. Physician EHR Adoption

  8. Federal Government Responds: HITECH Act • Part of American Recovery and Reinvestment Act of 2009 (ARRA) • Goal: Every American to have an EHR by 2014 • Systematically addresses major barriers to adoption and Meaningful Use: • Money/market reform • Technical assistance, support, and better information • Health information exchange • Privacy and security

  9. HITECH: How the Pieces Fit Together Regional Extension Centers Workforce Training ADOPTION Improved Individual & Population Health Outcomes Increased Transparency & Efficiency Improved Ability to Study & Improve Care Delivery Medicare and Medicaid Incentives and Penalties MEANINGFUL USE State Grants forHealth Information Exchange Standards & Certification Framework Privacy & Security Framework EXCHANGE Health IT Practice Research 10

  10. Clinical Care Knowledge Barrier Health Care Delivery System Transformation Enhancing Health System Performance Competencies Adoption of Health Information Technology Transformation Barrier Integrated Care Infrastructure Barrier Accountable Care Episodic/ Uncoordinated Personalized Health Care Management

  11. Summary • We live in exciting times • Transformation is built on quality and value • Meaningful use of EMRs • All of us working together • Many opportunities and challenges ahead 12

  12. EHR Resources • Get information, tip sheets and more at CMS’ official website for the EHR incentive programs: www.cms.gov/EHRIncentivePrograms • For more about MU measures: http://www.cms.gov/QualityMeasures/03_ElectronicSpecifications.asp#TopOfPage • Learn about certification and certified EHRs, as well as other ONC programs designed to support providers as they make the transition: http://healthit.hhs.gov

  13. Thank you! Contact info: betsy.thompson@cms.hhs.gov

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